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腋下弧形小切口在胸部手术中的应用 被引量:10

Application of subaxillary curved mini-incision thoracotomy in thoracic operations
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摘要 目的探讨腋下弧形小切口在胸部手术中的应用. 方法采用腋下背阔肌及前锯肌之间隙弧形小切口(切口长8~14 cm)对65例胸部疾病进行手术,包括气胸、血气胸(13例),肺部良恶性肿瘤(23例),纵隔肿瘤(4例),食管良恶性肿瘤及贲门癌(25例). 结果手术均获成功,无手术死亡,并发症4例,其中胸腔积液1例,肺部感染2例,食管胃吻合口漏1例,发生率6.2%(4/65). 结论腋下弧形小切口开胸手术具有创伤小、出血少、对心肺功能影响小、恢复快以及美观等优点,是治疗胸部疾病较好的方法. Objective To investigate the clinical application of subaxillary curved mini - incision thoracotomy in thoracic operations. Methods Through a subaxillary curved mini -incision between the latissimus dorsi muscle and the serratus anterior muscle (length of incision, 8 - 14 cm), thoracic operations were performed in 65 patients with thoracic diseases, including pneumothorax or hemopneumothorax ( 13 patients ) , pulmonary benign tumor ( 23 patients ), mediastinal tumor ( 4 patients ) , and esophageal benign or malignant tumor and cardiac cancer (25 patients). Results All the patients were successfully operated on. No surgery-related deaths occurred. The incidence of complications was 6. 2% (4/65), including pleural effusion in 1 patient,pulmonary infection in 2 patients, and anastomotic leakage of esophagogastrostomy in 1 patient. Conclusions Subaxillary curved mini - incision thoracotomy, characterized by minimal invasion, little blood loss, mild influence on cardiopulmonary functions, quick recovery, and good cosmetic outcomes, is an ideal option for the treatment of thoracic diseases.
出处 《中国微创外科杂志》 CSCD 2005年第8期631-632,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 小切口 胸部疾病 Mini - incision Thoracic disease
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